title: Stingray balloon used in slender percutaneous coronary intervention for chronic total occlusion.
abstract: Slender chronic total occlusion (CTO) percutaneous coronary intervention (PCI) using 5 Fr radial Ikari catheter is possible in simple CTO cases. We report a case where we initially thought the LAD CTO was short and easy, but we found that the CTO had a considerable amount of calcium and also some tortuosity, making simple wire crossing impossible. We used a Stingray balloon to perform re-entry by tracking the balloon over an Ultimate Bros 3 gram wire using an extension wire. We successfully punctured into true lumen and completed stenting through a slender 5 Fr system. This case demonstrates the beauty of combining the advances in CTO PCI from the East and the West together and also demonstrates the possibility of using the Stingray system in a 5 Fr guiding catheter.
authors.affiliation: Department of Medicine and Therapeutics, Prince of Wales Hospital, Ngan Shing Rd, Shatin, Hong Kong. ebwu@netvigator.com
authors.forename: Eugene B
authors.initials: EB
authors.lastname: Wu
authors.forename: Yuji
authors.initials: Y
authors.lastname: Ikari
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D002908:Chronic Disease; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D007564:Japan; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000295:instrumentation* / Q000379:methods*; D016896:Treatment Outcome; D014481:United States